Abstract

To the editor: We were most interested to read the recent article by Lally and Jimenez (1) describing six patients with progressive systemic sclerosis and impotence for whom no cause for the impotence other than the progressive systemic sclerosis could be found. We recently have seen a similar case.

A 36-year-old white male longshoreman without known chronic medical illnesses presented after 5 months of impotence and 1 to 2 months of swelling of hands and feet, ulcerations of several of his finger tips, and tightening of skin over the dorsum of his hands. On further questioning, the patient described intermittent